Crime Reporting Form

Welcome to the Lakewood Police Department Online Crime Reporting System

Please read the following instructions carefully before you begin.

If you have an EMERGENCY, call 911.

This reporting system is for non-emergency property crimes and incidents that have occurred within the Lakewood City limits. Due to the nature of this type of report, no further investigation is anticipated. This report is for information or insurance reporting purposes only. Information submitted using this website is secure.

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This form should ONLY be used if the following criteria are met:
You MUST Select Each Checkbox To Indicate That The Criteria Are Acknowledged

This is a non-emergency crime

You cannot identify a suspect

The incident occurred within Lakewood City limits

You are not reporting a violent crime

No physical evidence was left by the suspect

The incident is not traffic
related

If the above criteria are not met, call the Lakewood Police Department at (303)
987-7111 and someone will assist you.

TYPE OF CRIME

This form should only be used if the following types of crime(s) are being reported.
Select one or more of the following crime types you are reporting:

Damage to property (not a vehicle) Damage to vehicle * Theft from inside a vehicle * Theft of motor vehicle parts (tires, hubcaps, etc.) * Shoplifting (theft of merchandise from business) Theft from a building (unlocked & open to public) Theft from Locker - Student Use Only All other thefts Lost Property

*Please include vehicle information in the Vehicle Section below.

If you need to report misuse of a credit or debit card, under $2,000.00, use this
form: Credit Card Fraud Reporting.
The amount must be under $2,000.00

If you have selected one of the options above, please continue filling out this
report.
You may tab through the form to enter information. Required fields will appear in
red.
Once the form is completed, click the Submit button.

INCIDENT DATE AND TIME INFORMATION

Incident occurred on/between:

And

INCIDENT LOCATION INFORMATION

Location Address:

Incident Location is a:

OWNER/VICTIM INFORMATION

This person is the (Check all that apply):

OwnerVictimReporting Party

Business Name (if victim is a business):

First Name:

Middle Name:

Last Name:

Title/Suffix:

*Date of Birth:

Address:

City:

State:

Zipcode:

Email:

Phone Number:

Other Phone Number:

Drivers License #:

Drivers License State:

Race:

Sex:

Male Female

REPORTING PARTY INFORMATION:

If person reporting the crime is different than the victim/owner, please fill out
the reporting party information below.

NARRATIVE

Please write a brief description of the event, to include what and how it happened.

To list more property, enter it in the narrative section with the information requested
above.

Narrative Based on Victim Statement:

AFFIDAVIT

Reporting of any crime that is false or malicious is punishable by law. All violators
will be prosecuted for filing a false police report to authorities. Police report
information is public record.

As the Reporting Party, I affirm that this information is true and correct.

If you have provided an e-mail address, you will receive a confirmation email indicating
receipt of this report, which will contain a case report number. Remember, it is
highly unlikely that you will receive any further investigative contact from the
police department due to the nature of this report. An official police report will
be generated.

To obtain the official police report filed with the Lakewood Police Department Records
Section, you can submit submit the Police Records Request Form in person or by mail and pay
the required fee.

Please Note: When you click "Submit Form" it may take up to one minute for the form
to be transmitted. Please do not click the refresh or back button. Also, do not
click the "Submit Form" button again. If you do not receive a case report number
from us in 48 hours, please call Lakewood Police Records at 303-987-7331.